Author(s): Varan AK, Harriman KH, Winter K, Thun MD, McDonald EC
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Abstract PURPOSE: During recent pertussis epidemics, adolescents have experienced a large burden of disease. We assessed the impact of pertussis among San Diego adolescents and their households. METHODS: Parents of pertussis patients aged 13-17 years were surveyed about health care utilization, missed work and school, and other factors. Costs of medical visits, medication use, and lost wages were estimated. RESULTS: The parents of 53 (of 108 [49\%]) eligible 2013 pertussis patients were interviewed; 51 (96\%) of these patients previously received tetanus, diphtheria, and acellular pertussis vaccine. Medical visits included primary care (81\%), urgent care (11\%), and emergency department (9\%); all patients received antibiotics. Forty-seven households (89\%) received a post-exposure prophylaxis recommendation, and five (9\%) reported ≥1 unpaid parental leave day. Thirty-eight patients (72\%) missed ≥1 school day (mean = 5.4 days). Societal costs were estimated at $315.15 per household and $236,047.35 in San Diego during 2013-2014. CONCLUSIONS: Even among vaccinated adolescents, pertussis can result in considerable societal costs. Published by Elsevier Inc.
This article was published in J Adolesc Health
and referenced in Translational Medicine